WINTERFEST 2024

This form is for parents/guardians to fill out if their students are attending Winterfest 2024!

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WINTERFEST 2024 – JANUARY 26-28TH

All parents must fill out this form and submit it for your student to attend Winterfest 2024. Total cost is $280. Your student’s $50 registration fee is due 11/22 at Youth Group. This form MUST be completed by then! Thank you!

STUDENT INFORMATION

If you have more than one student attending you may submit one form.

STUDENTS NAME(Required)

First Last

STUDENTS BIRTHDATE & GRADE(Required)

STUDENTS NAME

First Last

STUDENTS BIRTHDATE & GRADE

STUDENTS NAME

First Last

STUDENTS BIRTHDATE & GRADE

STUDENT'S ADDRESS(Required)

Street Address Address Line 2 City ZIP Code

STUDENT'S ADDRESS

Street Address Address Line 2 City ZIP Code

STUDENT'S ADDRESS

Street Address Address Line 2 City ZIP Code

PARENT/GUARDIAN INFORMATION

Please provide your contact information

Your Name(Required)

First Last

Your Address(Required)

Street Address Address Line 2 City ZIP Code

Preferred Method of Contact(Required)

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

A physical liability form will be required for you to sign in order for your child to attend Winterfest 2024. Please put "yes" as your acknowledgment of this requirement.(Required)

MEDICAL INFORMATION – please provide your children's medical health insurance information and their primary doctor's contact information(Required)

MEDICATIONS – please provide a list of all medications your student will need to bring on the trip. *If there are no medications please just put "N/A" in the box.(Required)

MEDICAL NEEDS. Please notify us of any diagnosis, medical needs, physical limitations, dietary restrictions and more. If there are none for your student please put "N/A."(Required)